@article{ref1,
title="Toward DSM-V: Mapping the alcohol use disorder continuum in college students",
journal="Drug and alcohol dependence",
year="2011",
author="Hagman, Brett T. and Cohn, Amy M.",
volume="118",
number="2-3",
pages="202-208",
abstract="OBJECTIVE: The present study examined the dimensionality of DSM-IV Alcohol Use Disorder (AUD) criteria using Item Response Theory (IRT) methods and tested the validity of the proposed DSM-V AUD guidelines in a sample of college students. METHOD: Participants were 396 college students who reported any alcohol use in the past 90 days and were aged 18 years or older. We conducted factor analyses to determine whether a one- or two-factor model provided a better fit to the AUD criteria. IRT analyses estimated item severity and discrimination parameters for each criterion. Multivariate analyses examined differences among the DSM-V diagnostic cut-off (AUD vs. No AUD) and severity qualifiers (no diagnosis, moderate, severe) across several validating measures of alcohol use. RESULTS: A dominant single-factor model provided the best fit to the AUD criteria. IRT analyses indicated that abuse and dependence criteria were intermixed along the latent continuum. The &quot;legal problems&quot; criterion had the highest severity parameter and the tolerance criterion had the lowest severity parameter. The abuse criterion &quot;social/interpersonal problems&quot; and dependence criterion &quot;activities to obtain alcohol&quot; had the highest discrimination parameter estimates. Multivariate analysis indicated that the DSM-V cut-off point, and severity qualifier groups were distinguishable on several measures of alcohol consumption, drinking consequences, and drinking restraint. DISCUSSION: Findings suggest that the AUD criteria reflect a latent variable that represents a primary disorder and provide support for the proposed DSM-V AUD criteria in a sample of college students. Continued research in other high-risk samples of college students is needed.<p /><p>Language: en</p>",
language="en",
issn="0376-8716",
doi="10.1016/j.drugalcdep.2011.03.021",
url="http://dx.doi.org/10.1016/j.drugalcdep.2011.03.021"
}